Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $63.89 / $194.00	Facility		$49.58	$63.89	$194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $66.13 / $106.83	Professional		$51.28	$66.13	$106.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.14 / $52.14	Facility		$52.14	$52.14	$52.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $80.56 / $103.45	Professional		$48.59	$80.56	$103.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $71.68 / $135.47	Professional		$71.68	$71.68	$135.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $250.00	Facility		$118.77	$118.77	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $67.00 / $107.19	Professional		$44.00	$67.00	$107.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $76.00 / $96.16	Professional		$60.15	$76.00	$96.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.10 / $73.38 / $101.57	Facility		$60.10	$73.38	$101.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $90.00 / $154.00	Professional		$79.00	$90.00	$154.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $94.13 / $146.51	Facility		$62.76	$94.13	$146.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $101.10 / $159.05	Professional		$67.19	$101.10	$159.05
United Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $74.75 / $114.97	Professional		$53.06	$74.75	$114.97